Job title: Pre-Authorisation Consultant
Job type: Permanent
Emp type: Full-time
Industry: Medical Aid / Medical Schemes
Location: City of Tshwane Metropolitan Municipality, South Africa
Job published: 10/02/2020
Job ID: 32358
Contact name: Linda Pakshong
Contact email: linda@medicalplaces.com

Job Description

An exciting opportunity for an analytical and attention-to-detail Pre- Authorisation Consultant exists at an established Healthcare Administration Company based in Centurion.  The successful candidate will utilise their Clinical, Pre-Authorisation & Case Management experience to build effective relationships with our members telephonically.

Minimum Requirements:

  • A minimum of Grade 12
  • A Registered Nursing qualification.  
  • Intensive Nursing Science & Operating Theatre Techniques qualification will be an added advantage.
  • Previous exposure in Renal Dialysis, Oncology and/or Psychiatric environment would be most preferred
  • Exposure to Theatre and/or ICU in a private hospital will be an added advantage.
  • Sound knowledge of the Coding Systems: ICD10 & CPT4 Principles and sound knowledge of the Medical Aid Industry, Rules & Regulations, ISO and other related legislation
  • Previous exposure in a Managed Healthcare Call Centre
  • Excellent business writing & communication skills with exceptional telephone etiquette
  • Must have strong organisational awareness in order to anticipate the impact of actions on other groups.
  • Time Management & good administration skills
  • Effective conflict resolution skills and the ability to work under pressure
  • Must be a strong team player and results driven
  • Computer literacy (MS Office and Medical Administration system)

Preference will be given to AIC candidates